Shoe Signup - form2

Hays Cares Shoe Signup - One Entry Per Person

* Indicates required field

Child's Name *

First

Last

Grade *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Gender *

Male Female

Parents please provide permission for your child to participate at the Hays Cares/Samaritan's Feet event, by selecting the response below. *

I DO give my child permission to receive a new pair of donated athetic shoes I do NOT give my child permission to recieve a new pair of donated athletic shoes.

Please select your child's shoe size below:

T - Toddler B- Boy G-Girl W-Women M-Men

Girls Shoe Size *

Boys Shoe Size *

If your shoe size is not listed please let me know you need to be contacted *

Submit

163 Trademark Drive Buda,Texas 78610

Hays Cares Shoe Signup - One Entry Per Person

Please select your child's shoe size below:

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